Externship Application Form

Application DATE:

Participant's First Name *

Participant's Last Name *

Participant's Date of birth *

Gender Preference *

Male

Female

Non-Binary

Prefer not to answer

Address

Street Address *

City

State

Postal code

Areas of Interest *

Directing

Choreography

Music coaching/directing

Stage Management

Technical Design & Operation

Set Design & Construction

Costume Design & Construction

Prop Design & Construction

Front of House Management

Marketing & Ad Sales

Recruitment & Outreach

Volunteer Coordinator

Participant's School *

Participant's Grade

Major and Minor (if applicable)

School Art Activities *

Performing Arts Experience *

Interests/Other Activities *

If you have a job (part/full), please provide your weekly availability *

Please list your previous work experience if any *

Parent/Guardian Full Name - Emergency Contact *

Phone *

Email *

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